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Sexual Misconduct Reporting Form


Submit this form to send information about alleged sexual misconduct directly to a Rutgers University Title IX Office.

"Sexual misconduct" includes, but is not limited to: sexual harassment, sexual assault, sexual exploitation, gender-based harassment, relationship violence, stalking, and retaliation.

 

If you are in immediate danger, please call 911.

 

PLEASE NOTE: This form simply notifies the Title IX office. Additional steps are required to initiate a process.



Q: Who can use this form to report an incident or concern?
A:
Anyone.


Q: What will happen when I submit this report?
A:
The report will be sent directly to the Title IX Office on the appropriate Rutgers University campus, based on the information you provide below. A copy of the report will be sent to the Rutgers University Police Department (RUPD) for their records, and an officer may contact you about the report. While you are not required to speak with them, RUPD encourages and supports the community in reporting these incidents.  RUPD recommends that incidents that occur on-campus be reported to RUPD at 732-932-7211 and off-campus incidents be reported to the appropriate police department where the incident occurred. 


Q: Will the Title IX Office contact me?
A:
If you provide your name and contact information, yes, the Title IX Office will contact you to acknowledge receipt of your report. The Title IX Office may also provide you and other relevant parties with resources, support, and potential next steps.

If you do not provide your name, phone number, or email address, the Title IX Office will be very limited in its ability to contact you and respond to the information provided in this report.

Q: What will NOT happen when I submit this report?
A:
Submitting this form will not automatically initiate a University investigation of the allegation(s), barring extenuating circumstances (see Sec. IV. E. of the Student Sexual Misconduct Policy). Rather, this form serves as a method to notify the University of possible Title IX violation(s) and enables the Title IX Office to provide information about resources, support, and potential next steps. The Title IX Office will always notify all parties prior to the start of a University investigation.


Q: What if I am unsure about reporting this incident?
A:
If you have any questions or concerns about the reporting process, please contact the Title IX Office during regular business hours. A list of the Title IX Offices on each Rutgers campus can be found here. If you prefer to speak with a confidential advocate, please contact the Office for Violence Prevention and Victim Assistance (VPVA) using the information below. VPVA advocates are on call to answer any questions 24 hours per day, 7 days per week.

 

Support and Resources


Rutgers University has many resources to support those affected by sexual misconduct. Support is available in many forms and regardless of whether you submit a report.

If you are a Rutgers University student, staff or faculty member, we strongly encourage you to contact the Office for Violence Prevention and Victim Assistance (VPVA) to speak with someone confidentially. Their contact information by campus is listed below.

New Brunswick Campus
3 Bartlett Street
(848) 932-1181
http://vpva.rutgers.edu/need-help

Newark Campus
249 University Avenue, Blumenthal Hall, Room 203
(973) 353-1918
https://www.newark.rutgers.edu/VPVA

Camden Campus
326 Penn Street
(856) 225-2326
https://vpva.camden.rutgers.edu/need-help

RBHS Campus
65 Bergen Street, Suite 1441, Stanley S. Bergen, Jr. Building
(973) 972-4636
https://oasa.rbhs.rutgers.edu/violence-prevention-victim-assistance

For additional information and resources, please click on the links below.



New Brunswick campus resources
Newark campus resources
Camden campus resources
RBHS campus resources

More information about support and resources can also be found on the End Sexual Violence website.

Reporter Information

Q: Do I have to provide my name?

A: Not necessarily.

You can report anonymously; however, if you do not provide your name or other contact information the Title IX Office will be limited in its ability to respond to the report. If you have concerns about anonymity, a better option is to provide your name in this report and then discuss with the Title IX Office your preference to keep any identifying information private.

 
Learn more
Student, staff, faculty, visitor, etc.
Email address must be of a valid format.
This field is required.
Learn more
If incidents are ongoing, please include the date of the most recent incident.
This field is required.
Learn more
Building name or address, if you are unsure, please include any details about the location.

Involved Parties

Please include as much information as you can about anyone involved in the incident(s).
If you were not involved in the incident(s), you do not need to include your information here.

Involved party 1

Information about the Incident

This field is required.
To your knowledge, have any of the involved parties contacted any of the following resources?(Required)
You must make at least one selection.
How did you know to use this reporting form?
You must make at least one selection.

Supporting Documentation

Please attach any pictures, screenshots, videos, emails, or other supporting documents related to the incident(s). 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission